Neonatal-Perinatal Medicine Clinical Training

The Division of Newborn Medicine is responsible for staffing the Neonatal Intensive Care Units (NICUs) at Magee-Womens Hospital of UPMC and Children's Hospital of Pittsburgh of UPMC; both hospitals are part of UPMC. Magee-Womens is the main delivery hospital for UPMC and serves as the high-risk obstetrics referral center for the tristate area; approximately 10,000 infants are delivered at Magee annually.

The Magee NICU is equipped with 77-beds, and admits approximately 1,700 infants each year and has an average daily census of 68 patients. The NICU is contiguous to the delivery suites as well as a perinatal intensive care unit for high-risk obstetrical patients. Magee-Womens has an active delivery service in which Neonatology and Perinatology work closely together. The Fetal Diagnosis and Treatment Center, located at Magee, offers an interdisciplinary team of neonatologists, geneticists, maternal/fetal medicine specialists, and pediatric surgeons in a centralized referral center that evaluates approximately 200 to 300 patients per year. Pediatric Cardiology and Radiology are both available in-house at Magee; other pediatric and pediatric surgical consultants are housed at Children's Hospital and provide timely on-site consultations at Magee.

The NICU at Children's Hospital of Pittsburgh of UPMC is a 55-bed combined medical-surgical unit, located on the 8th floor of the new 10-acre medical and research campus in Pittsburgh’s Lawrenceville neighborhood. There are 1,260 admissions per year and has an average daily census of 55 patients. More than 1,000 infants each year are transferred to the Children's Hospital NICU from nurseries in the tristate area and beyond due to complex cardiac, genetic, or multi-organ disease, or because they require surgical treatment or extracorporeal membrane oxygenation (ECMO). Our neonatologists are experts in managing critically ill infants; our fellows quickly become familiar with state-of-the art therapies including inhaled Nitric Oxide (iNO), ECMO, and induced Whole Body Hypothermia.

Fellows rotate through both the Magee and Children's NICUs. They interact with maternal-fetal medicine specialists, pediatric surgeons, pediatric cardiologists, and other pediatric subspecialists. During their clinical time the fellows provide supervision and teaching of the pediatric house officers at high-risk deliveries and work with housestaff in the stabilization and initial management of all new patients. The fellows also work closely with the attending neonatologists, assuming greater teaching, leadership, and patient care responsibilities as the fellowship progresses. In-house night call averages one night in five. The fellows also actively participate in neonatal transports (air and ground) while on service at Children's and Magee.

During rotations in the Neonatal Apnea and Neurodevelopmental Clinic, the fellows are exposed to an active infant-follow-up program. Fellows are also expected to contribute in teaching rounds and all divisional conferences.